An Assessment of Facial Surgical Scars

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An Assessment of Facial Surgical Scars

G. Lauer, B.H. Choi, W. Pradel: An assessment of facial surgical scarsMal. J. Oral Maxillofax. Surg. 2002: 2: 1–5.

Abstract: A standardised method for assessing facial scars after surgical incisionsdoes not exist in today’s literature. The purpose of this paper is to present anassessment method for facial surgical scars. In this study a scar assessment ratingscale has been applied to evaluate four criteria: width, height, pliability, and colourof the scar. The scores of all four criteria were added up to form an overall scorefor each scar. This system was used in a prospective study on 65 facial scars inthree different locations of the face and neck region each over a period of sixmonths. The results showed that the assessment system gave a comprehensive viewof the scars in one figure and allowed for evaluating of facial scars at differentlocations and at certain points in time. When comparing the scars of differentlocations at each point in time, submandibular scars produced the least desirableaesthetic results. The longitudinal improvement of the scars could be verified bythe assessment system. We conclude that this rating scale system appears to be afeasible tool for assessing surgical scars, allowing for longitudinal comparison ofscars as well as for comparison of different scars of different locations.